Miami-Dade County Association of Chiefs of Police

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Miami-Dade County Association of Chiefs of Police Honor ▪ Integrity ▪ Efficiency ▪ Professionalism

Membership Application/Update Information New Application

Update Information

NOTE: Please only enter your name and the changed information if you are updating your file.

I am applying for the following category of membership:

Active Dues: $200 Initiation: $25 Total: $225

Associate Dues: $250 Initiation: $25 Total: $275

Honorary Gratis

Membership Requirements Active Membership Commissioners, superintendents, chiefs and command staff members, national, state, provincial, county, municipal police departments, directors, agent in charge or equivalent

Associate Membership

Life-Active

Life-Inactive Sponsoring Members

Dues: $50

Dues: $50

Name: ______________________________________________

Dues: $3,000

Date: __________________

Rank/Title: ______________________________________________________________________

Non-law enforcement personnel, retired former members, staff members from law enforcement associations, CEO of Miami-Dade County municipals, law enforcement organization personnel

Honorary Membership Honorary Members shall be such members that the Association choose to honor with such membership

Agency/Organization: _____________________________________________________________ Life-Active Membership Business Address: _________________________________________________________________ Business Telephone: _________________________

Facsimile: _____________________

Home Address: ___________________________________________________________________ Home Telephone: __________________

Email: _______________________________

Members that are afforded permanent membership regardless of their membership qualification status. Membership includes all past Presidents and any other person deemed by unanimous vote of the membership to be deserving of this honor shall have the right of all active members

List Departmental Responsibilities: Life-Inactive Membership _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________

___________________________________________________________________ Recommended By: _______________________________________________________________ Correspondence mailed to:

Office

Past presidents or others designated as life members that are no longer active

Sponsoring Membership Sponsoring members are those business entities, either individuals, partnerships or corporations who seek to support the Miami-Dade County Association of Chiefs of Police

Home

Please print form and mail to: Captain M. De La Rosa Bal Harbour Village Police Department 655 96 Street Bal Harbour, FL 33154 Please make check payable to Miami-Dade County Association of Chiefs of Police and mail to the address above. For further information, please call Captain M. De La Rosa at (305) 866-5000 or email to: [email protected].

Associate members enjoy the same privileges as active members except those of holding office and voting.